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07-0604 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ht 4 4 Q" BUILDING& SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00.000604 Property Address: 81910 EAGLE CLAW DR. APN: 764-280-999-27 -300235- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 15.9387 Applicant: rt;hitect or Engineer: tz"d�rJ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Pam'licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professionals Code,.and my License is in full force and effect. Li Class:.H License No.: 672285 tract OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1, am'exampt from the Contractor's:State License Lew for the following reason (Sec: 7031 .5, Business and Professions Code: Any city or, county that requires a permit to construct, atter; improve, demolish, or repair any structure, prior to its issuance, also requires the, applicant for.the permit to file a signed statement thathe or sheds licensed pursuant to the provisions.ofthe Contractor's State License Law (Chapter'9 (commencing with Section=7000) of Division 3 of the Business and Professions Code) or thathe or she -is exempt therefrom and the basis for thwalleged exemption. Any violation of Section 7031.5 by any applicant fora permit.subjects the.applicant to a civil penalty of not morethan five hundredidollars (8500).: (_ 1 I, as owner of the property,,or!myemployees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale(Sec. 7044; Business and Professions Code: The Contractors ',State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will'. have the burden of proving that he or she did not build or :improve for the purpose of sale:). (_ 1 1, as owner of the property, am exclusivelycontracting with licensed contractors to construct the project (Sec. '7044, Business and Professions Code: The Contractors' State License Law doesrnot.apply to an owner of property who builds or improves thereon, and who contracts for the projects With a contractors) licensed pursuant to theContractors' State.License Law.). (_) I am exempt under Sec. , B.&P:C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY Thereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permitis issued (Sec. 3097, Civ. C.). Lender's. Name: Lender's Address: Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CE: SCOTTSDALE, AZ 8 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Contractor: SHEA HOMES, INC. 8.1260 AVENUE 62 LA QUINTA, .CA 9225'3 (760)777-6005 Lic. No.: 672285 ------------------ WORKER'S COMPENSATION DECLARATION 2/26/07 1 hereby affirm under penalty of perjury oneofthe following declarations: _ 1 have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of, the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AMERICAN HOME Policy;Number 124:7619 _ I certifythat, in the performance of the work for which this permit Is issued, 1 shall not employ any person in any manner so as to become subject to the; workers' compensation laws of California, and agree that, if I sCh Id become subject.to the workers' compensation provisions of Section . 1 ( 3760 of the Labor 11 fano withmply with ose provisions: Dai I` t—t �Are�t1 �•• '1#�J l� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND'SHALL SUBJECT AN.EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000). IN ADDITION TO THE COST OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE„INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions arid restrictions set forth on this application. 1. Each person upon whose behalf this application: is made, each person at whose request and for whose.benefn work is performed under or pursuant to any permit.issued as a result of this application, the. owner, and the.spplicant, each agrees to, and shall defend, indemnify and holt harmless the City of La.Ouinta, its officers, agents and employees:forany act or omission related to the work being performed under orfollowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced ssu within 18O days from date of ianoe'of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read thisapplicatiowand state that the above information is correct. '1 agree to comply with all city and�00 nt ordinances and state laws relating to bu construction, and here orize representatives of y enter upon above-mentioned pr ( i rp e:. �� nature (Applicant or Age Application Number Permit .. . . Additional desc . . Permit Fee . . . . Issue Date . . . Expiration Date . . . . . 07-00000604 BUILDING PERMIT 849.50 Plan Check Fee . . 552.18 Valuation . . . . 1593.87 8/25/07 Qty Unit Charge Per Extension BASE FEE 639.50 60.00 3.5000 THOU BLDG 100,001-500,000 210'.00 Permit . . . MECHANICAL Additional desc . Permit Fee 65.50 Plan Check Fee 16.38 Issue Date Valuation . . . . 0 Expiration Date 8/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.000.0 EA MECH FURNACE <=LOOK 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5060 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee 89.84 Plan Check Fee 22.46 Issue Date Valuation . . . . 0 Expiration Date 8/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 1773.0.0 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.0.6 639.00 ------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit . . . PLUMBING Additional desc . . Permit Fee . . . 120.00 Plan Check Fe_e 30-.00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . . 8/25/07 - Qty Unit Charge Per Extension BASE FEE 15..00 10.00 6.0000. EA PLB FIXTURE. 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.0.0 LQPERMff Application Number . . . . . 07-00000604 - ------------- -- -- -------------------------------- Special Notes and Comments Permit . . . . PLUMBING SF. Qty Unit Charge Per MORNING ROOM (24 SF.). PERMIT Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.5.0 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 6.00' .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS :METER 15.00 Permit GRADING PERMIT Additional desc . Permit Fee . . . 15.00 Issue Date . . . . Expiration Date . . 8/25/07 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 - ------------- -- -- -------------------------------- Special Notes and Comments ------------- SFD - LOT 27, PLAN 4515B, 1773 SF. WITH.4' GARAGE EXT. (10'3SF) & BOX BAY @ MORNING ROOM (24 SF.). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH'. 2001 CBC, CMC, CPC, 2.004 CEC, 2005 ENERGY CODES -----------------.-.--------------------------,-------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74..00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 55.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.60 DIF PARK MAINT FAC - RES '22.00 DIF PARKS/REC - RES 892..00 STRONG MOTION (SMI), - RES 15.93 DIF STREET MAINT FAC -RES 67.0.0 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1139.84 .0.0 .00 •1139.84 Plan. Check Total 621.02 .00 .00 621.02 Other Fee Total 4566.15 .00 .00 4566.15 Grand Total 6327.0.1 .00 .00 .6327.01